Assessment of Maternal and Perinatal Morbidity and Mortality in Vaginal and Cesarean Delivery Among a Sample of Women Delivering at Ain Shams University Maternity Hospital

• Type of Study: a cross-sectional study

• Study Setting: Ain Shams maternity hospital

• Study Period: 6 months

• Study Population: in this prospective study, all women who deliver vaginally and by cesarean section at Ain Shams maternity hospital will be included.

• Sampling Method: All of the pregnant women who will deliver vaginally and all of pregnant women who will deliver by cesarean sections in the labor delivery room at Ain Shams University Maternity Hospital on a fixed day and by a fixed team over a period of 6 months

• Sample Size: all pregnant women who will deliver at Ain Shams maternity hospital.

• Inclusion criteria :

• All of the patients who will deliver vaginally

• All of the patients who will deliver by cesarean sections.

• Exclusion criteria: no exclusion criteria, all women who will attend for delivery will be included.

• Ethical Considerations: the study objectives will be briefly and clearly described to all participants and an oral consent will be obtained from all patients.

• Study Procedures :

In all selected cases the following will be recorded:

Parameters of maternal morbidity:

1. ICU admission due to the complication of delivery.
2. Need for advanced surgery (int. iliac ligation -hysterectomy -or due to the injury of pelvic organs).
3. Febrile morbidity temp >38C on two or more occasion within 48h of delivery.
4. Postpartum hemorrhage (blood loss 500cc in VD and 1liter in C\S).
5. Wound infection.
6. Late complications e.g. (D.V.T-puerperal sepsis and hematoma).
7. Need for blood transfusion post labor
8. Maternal mortality.